PRN 1032 - EXAM 2 LATEST 2026/2027 | MULTIPLE-
CHOICE | 40 VERIFIED Q&A | DETAILED RATIONALES |
NGN-ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: MEDICATION ADMINISTRATION - Questions 1-8
Q1: Medication Administration - Six Rights
A nurse is preparing to administer an oral medication. Which of the following is one of the six rights
of medication administration?
A. Right room number
B. Right diagnosis
C. Right time
D. Right diet order
Correct Answer: C
Rationale: The six rights of medication administration are: Right Patient, Right Medication, Right
Dose, Right Route, Right Time, and Right Documentation. Right room and right diagnosis are not
included. Right diet order relates to nutritional considerations. [100% CORRECT]
Q2: Medication Administration - Oral Route
A patient has difficulty swallowing pills. Which action should the nurse take?
A. Crush all medications and mix with applesauce
B. Request a liquid or dissolvable formulation from the pharmacy
C. Skip the medication dose
D. Administer the medication intravenously instead
Correct Answer: B
Rationale: Requesting a liquid or dissolvable formulation is the safest approach. Not all medications
can be crushed (e.g., enteric-coated, sustained-release). Skipping doses is unsafe. Changing to IV
route requires a provider order and is not indicated solely for swallowing difficulty. [100% CORRECT]
Q3: Medication Calculation - Dosage
A nurse is to administer 500 mg of a medication that is available as 250 mg per tablet. How many
tablets should the nurse administer?
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Correct Answer: B
Rationale: Desired dose (500 mg) divided by available dose (250 mg/tablet) = 2 tablets. The nurse
should verify the calculation with a second nurse before administration. [100% CORRECT]
, 2
Q4: IV Infusion Rate Calculation
The healthcare provider orders 1000 mL of normal saline to infuse over 8 hours. The IV tubing drop
factor is 15 gtt/mL. At what rate should the nurse set the IV (gtt/min)?
A. 31 gtt/min
B. 125 gtt/min
C. 21 gtt/min
D. 42 gtt/min
Correct Answer: A
Rationale: Calculation: 1000 mL ÷ 8 hours = 125 mL/hour. Convert to gtt/min: (125 mL × 15 gtt/mL) ÷
60 minutes = 1875 ÷ 60 = 31.25 = 31 gtt/min. The nurse should round to the nearest whole number.
[100% CORRECT]
Q5: Medication Safety - Error Reporting
A nurse accidentally administers the wrong medication to a patient. What is the nurse's priority
action?
A. Document the error in the patient's chart only
B. Notify the healthcare provider and monitor the patient
C. Discard the medication and say nothing
D. Administer the correct medication immediately without telling anyone
Correct Answer: B
Rationale: The nurse must immediately notify the healthcare provider, monitor the patient for
adverse effects, complete an incident report, and document the error. Covering up errors or failing
to report is unprofessional and unsafe. The patient's safety is the priority. [100% CORRECT]
Q6: Medication Interactions - Food and Drugs
A patient taking warfarin (Coumadin) is advised to avoid foods high in vitamin K. Which food should
the patient avoid?
A. Apples
B. Green leafy vegetables (spinach, kale)
C. White bread
D. Orange juice
Correct Answer: B
Rationale: Vitamin K antagonizes warfarin's anticoagulant effect. Green leafy vegetables (spinach,
kale, broccoli) are high in vitamin K and should be consumed consistently or avoided. Apples, white
bread, and orange juice have minimal vitamin K content. [100% CORRECT]
Q7: Medication Safety - Three Checks
Which action is most important in preventing medication errors?
A. Administering medication quickly
B. Using only generic names
C. Performing three checks of the medication label
D. Relying on memory for dosages